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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 304270397
Report Date: 03/18/2024
Date Signed: 03/18/2024 09:33:17 AM

Document Has Been Signed on 03/18/2024 09:33 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 750 THE CITY DRIVE, SUITE 250
ORANGE, CA 92868
FACILITY NAME:KINDERCARE LEARNING CENTERFACILITY NUMBER:
304270397
ADMINISTRATOR:JASMIN CANALESFACILITY TYPE:
850
ADDRESS:4601 BEACH BLVD.TELEPHONE:
(714) 994-5610
CITY:BUENA PARKSTATE: CAZIP CODE:
90621
CAPACITY: 92TOTAL ENROLLED CHILDREN: 92CENSUS: 43DATE:
03/18/2024
TYPE OF VISIT:Case Management - IncidentUNANNOUNCEDTIME BEGAN:
09:00 AM
MET WITH:Sheryl Nishinaka - Assistant DirectorTIME COMPLETED:
09:45 AM
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Licensing Program Analyst (LPA) Carmen Odom and Alma Castro conducted an unannounced case management incident inspection in response to a self-report Unusual Incident dated 2/14/2024. LPA met with Assistant Director Sheryl Nishinaka. LPA observed 43 preschool age children and 5 staff members, children were playing. A review of staff criminal clearance records on this date indicates that all facility staff or other individuals who require caregiver background checks have received criminal record and child abuse index clearances or exemptions.

On 2/14/2024 a self-reported Unusual Incident Report (UIR) was filed with the Licensing Office. The facility reported that on 2/14/24, Parent #1 (P1) spoke with Staff #2 (S2) regarding what Child #1 (C1) disclosed the night before. C1 told P1 that Staff #1 (S1) pushed C1 into the restroom while other children were waiting in line.

During today’s visit, LPA obtained Staff #1 (S1) contact information. S1 and C1 were not at the facility during today's visit. Due to insufficient information available at this time, the reported incident needs further investigation.

Exit interview was conducted with Assistant Director Sheryl Nishinaka. The Notice of Site Visit was posted. Director was informed that the Notice of Site Visit must be posted for 30 consecutive days. Failure to post will result in civil penalties of $100.
SUPERVISORS NAME: Judy Hanson
LICENSING EVALUATOR NAME: Carmen Odom
LICENSING EVALUATOR SIGNATURE: DATE: 03/18/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 03/18/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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